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1477226876
TYRONE PENNY
MODESTO, CA
NPI
1477226876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XM0800X Occupational Therapist, Mental Health
(Licence: CA B6770816)
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
TYRONE PENNY RBT , ARF
564 PIRINEN LN APT C
MODESTO, CA 95354-2010
Phone number: 209-486-5175
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Mailing Address
TYRONE PENNY RBT , ARF
12091 E WHITMORE AVE
MODESTO, CA 95236
Phone number: 209-883-1201
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